Samantha Teach, | |
3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 | |
(313) 577-1396 | |
Not Available |
Full Name | Samantha Teach |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3901 Chrysler Dr Ste 3b, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366047250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2022064500 (Michigan) | Primary |
163W00000X | Registered Nurse | 4704348939 (Michigan) | Secondary |
Entity Name | Neighborhood Service Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891825808 PECOS PAC ID: 7113907387 Enrollment ID: O20040720001455 |
Entity Name | University Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
---|---|
Samantha Teach, 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 Ph: (616) 822-8999 | Samantha Teach, 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 Ph: (313) 577-1396 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 | |
Mikayla Spica, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Elena M Darby, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4921 Fax: 313-343-7091 | |
Mrs. Ines Hurley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3950 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437 | |
Nicole Woznicki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Chrysler Dr, Detroit, MI 48201 Phone: 313-966-7601 | |
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